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Eyelid Reconstruction

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Margin reflex distance<br />

– Number of millimeters<br />

from the corneal light<br />

reflex to the lid margin<br />

– Upper lid – 4 to 5 mm<br />

(rests slightly below<br />

limbus)<br />

– Lower lid – 5 mm (rests at<br />

the lower limbus(<br />

– Reflex to limbus – 2.5 mm<br />

Absent function of the levator<br />

• For patients with absent function and severe ptosis, a<br />

frontalis sling is the procedure of choice<br />

Fascia sling<br />

A:<br />

Incisions at the lid margin<br />

54

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